Time and time again

Question 1

Atomoxitine

Answer 1

non stimulant rx for ADHD

Question 2

Oliguria definition

Answer 2

under 250 ml urine/ 12 hours

Question 3

rx of choice for delirium in the elderly

Answer 3

low dose haloperidol

Question 4

Ovarian hyper stimulation syndrome

Answer 4

seen w/ meds that stimulate ovaries
ovarian enlargement w/ mult follicles –> diffuse ab pain
may have ascites/ SOB

Question 5

Rx for child w/ mildly elevated lead in blood

Answer 5

1- recheck venous lead
2- levels 5-44, repeat testing in 1 month

*consider rx for levels above 45

Question 6

Organism in rice food poisoning

Answer 6

bacillus cereus

Question 7

Organism in unrefigerated / under cooked food w/ water diarrhea

Answer 7

c perfringens

Question 8

Imaging for kidney stone

Answer 8

ultrasound

non-contrast CT

Question 9

organism from under cooked foods, esp eggs and poultry

Answer 9

salmonella

rx only for sever or compromised

Question 10

What is an IV pyelogram

Answer 10

IV contrast and plain x ray
(looks for kidney stone)
Not used much anymore

Question 11

Vibrio vulnificus

Answer 11

marine bug
food borne illness (oyster) or skin infection (leads to rapid nec fasc)
Liver disease pts high risk for infection

Question 12

Leading cause of cellulitis and erysipelas

Answer 12

s aureus

strep pyogenes

Question 13

When do you give plt transfusion

Answer 13

plt under 10,000

or

plts under 50,000 w/ active bleeding

Question 14

Fresh frozen plasma

Answer 14

contains clotting factors

used in sever coagulaopathy (DIC, cirrhosis) with active bleeding

Question 15

Bloody diarrhea bug asc w/ travel, contaminated food/water

Answer 15

shigella

Question 16

Most common cause of bloody diarrhea

Answer 16

e-coli (can start out watery)
shigella
campylobacter

Question 17

A tick attached for ____________ does not require prophylactic treatment

Answer 17

under 36 hours

over 36 hours use doxycycline

Question 18

BMI for anorexia

Answer 18

under 18.5

Question 19

RX for right sided endocarditis in IV drug user

Answer 19

Vanc

need to cover MRSA, strep, enterococci

Question 20

CYP 450 inhibitors

Answer 20

Acetaminophen/ NSAIDS
amiodarone
cimetidine 
cranberry juice 
omeprazole
thyroid hormone 
ssri

Question 21

If mom stops feeling baby move, and you have good fetal heart tones, order this test

Answer 21

non stress test

Question 22

Massive bleeding during delivery of placenta

Answer 22

placenta acreta (grows into myometrium)

Question 23

Herpangina

Answer 23

coxsackie virus
vesicles/ ulcers of posterior oro-pharynx
fever/ pharyngitis
rx: supportive

Question 24

What determines exposure odds ratio

Answer 24

case control study: compares exposures of disease/ no disease people

Question 25

Bronciolitis

Answer 25

most commonly from RSV URI, wheezing/ crackles may --> resp distress

Question 26

What babies should get palivisumab

Answer 26

for RSV preterm under 29 weeks chronic lung disease significant heart disease

Question 27

prevalence odds ration is from what study?

Answer 27

cross sectional compares disease prevalence among 2 populations

Question 28

screening test for multiple myeloma

Answer 28

serum protein electrophoresis

Question 29

Hodgkins s/s

Answer 29

Painless LAD fatigue, wt loss, night sweats Medistinal mass common

Question 30

Relative risk is from what study?

Answer 30

cohort

Question 31

S2 is from what valve closure

Answer 31

Aortic and pulmonic

Question 32

Elevated JVP, CTABL, w/ ST elevations in II, III, aVF. Rx?

Answer 32

- Right ventricual MI (RCA) - preoal dependant: give fluids - Anti-coags, anti-plt, PCI - Statin - avoid nitrates/ BB

Question 33

Illness anxiety disorder

Answer 33

fear illness | have no/ minimal physical complaints

Question 34

Factious disorder

Answer 34

making up s/s to play the sick role